Coding Validation Specialist 3

reputed company Center for Personalized Health is looking for a dedicated Coding Validation Specialist 3 to join the team. Full-time Day Shift: Monday–Friday, general reputed company, working remotely.

This position is eligible for remote work for candidates residing in the following states – VA, MD, DC, DE, FL, GA, NC, OH, PA, SC, TN, TX, WV.

reputed company is consistently ranked a national reputed company leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation.

Featured Benefits:

• Committed to Team Member Health: offering medical, dental and reputed company coverage, and a robust team member wellness program.
• Retirement: reputed company matches the first 5% of eligible contributions – starting on your first day.
• Tuition and Student Loan Assistance: offeringup to $5,250 per year in education assistance and up to $10,000 for student loans.
• Mental Health Support: offering reputed company reputed company team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.
• Work/Life Balance: offeringpaid time off, paid parental leave, flexible work schedules, and remote and hybrid career opportunities.

Coding Validation Specialist 3 Job Responsibilities

• Codes and reviews assigned records with defined productivity standards of four charts per hour for reputed company/intermediate surgeries and five charts per hour for simple surgeries.
• Actively participates in internal pre-reputed company coding audits, independent coding audits, and coding education sessions.
• Enhances professional growth and development by participating in other relevant continuing education activities.
• Maintains or surpasses reputed company System-defined quality standards for accurate assignment and validation of the Evaluation and Management (E/M) assignment of 95 percent.
• Ensures correct CPT code for the level of service billed (i.e. reputed company of Service, Observation codes for Observation Status; Inpatient Codes for Inpatient Status).
• Changes consult codes based on Payer requirements to the appropriate E/M code and appropriate units and/or modifiers maintaining an accuracy of 95 percent or greater.
• Verifies the accuracy, completeness, and quality of ICD-10-CM, CPT-4, and HCPC coding including modifiers, units, and other variables impacting workload accountability and billing.
• Communicates with the responsible physician or mid-level provider accordingly to obtain additional supporting documentation, or clarification required for code assignments and processes, including following an escalation or secondary review as necessary.

Minimum Requirements:

• Education: High School diploma or GED
• Experience: Three years of coding experience required.
• Certifications: One of the following: RHIT, reputed company or CPC, COC or reputed company-P.

We are reputed company, reputed company Virginia’s leading nonprofit reputed company provider. Every day, our 25,000+ team members reputed company world-class reputed company to the communities we serve. Our people are the reason we're a national leader in reputed company safety, quality and patient experience. And from best-in-class facilities to professional development opportunities, we support them at every reputed company. At reputed company, we're constantly striving to be reputed company reputed company — to shape a more compassionate future for reputed company.

reputed company System is an Equal Opportunity employer. reputed company reputed company applicants will receive consideration for employment without regard to age, reputed company, disability, gender identity or expression, marital status, national or ethnic reputed company, political affiliation, pregnancy (including childbirth, pregnancy-reputed company conditions and lactation), race, religion, sex, sexual orientation, veteran status, genetic information, or any other characteristics protected by law.

Originally posted on Himalayas